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FEDERAL EMERGENCY MANAGEMENT AGENCY 1 0.1\11 B. No. 3067-0077 1
RECEIVED NATIONAL FLOOD INSURANCE PROGRAM • 1
I Expires Decernber 31, 2005
12-21-0.r ELEVATION CERTIFICATE L_
Important Read the ins on pates I - T.
SECTION A - PROPERTY OWNER T
II% ORMAION For Insuraire wilpani I ise, 1
IF I ' - I
. .
BUILDING 6,4 NAME Policy Number
CONDITIONED REALTY CO.
.„..
BUILDING STREET ADDRESS (Inch/ding Apt.. Unit. Suite, and/or Bldg. No.) OR P.U. ROUTE AND BOX NO Company NAIC Number
508 TYBRISA STREET
CITY STATE ZIP CODE
TYBEE ISLAND. GA 31328 . ...„ ..
PROPERTY DESCRIPTION (La and Block Numbers, Tax Pace Number, Loyal Des,7,riptia.„ etc.)
I OT 9-A OF A RECOMBINATION OF LOTS 7.8 & 9, MCLEOD SUBDIVISION
BUILDING USE 05.9., Residen(iaJ, Non-residential, Addition, Accessory, et. Use a Comments area, if necisasy.)
RES
LATiTUDtlf*GM,IDE (OPTIONAL) HORIZONTAL DATUM: SOURCE Li GPS (Type)___
or 44.v44:4..) f NAD 1927 1 NAD 1983 f 1 USG'S Quad ft,14)
.. ..........,_.__ . ___ _ . _
SECTION 8 -. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
. 1 81. NAP GClimuNITY NAME & CCIIMUNITY• NUMBER 7 2. CoUNTY Nkqt: j Rj.§TATE
TYBBE ISLP,NDia5184 C.HATHAhl 1 GA
_,..
84. MAP AMITFANEL 1 !
1 137. FIRM PANEL 1 ' 1 89. BA:EFCe..k55
NUMBER I 85, &PRY, i RI. FIRM INDEX DATE ! EFFEC..11VEREVIBED DATE I 88. FLOOD ZONE(8) 1 (Zone AO, tse depth IIII.7.K
1 &5164 0;42 0 1 51170 1
8/1786 AS 14
{ ,
, I i
---
11 ) 0. tr&de 'the source of the Dale Rood Etewerm (BEE) claa or t flood (.10) enteral in 139.
0 AS Pio* 174 EiRvi 0 Community Deteminej El, Other (1 _
811.1reitkie the elevation datum used for the BEE in B ) NGVD 1929 El NAVE) 1989 El Other (Der.,.
EV, Is the bokling Iocated in a Comte! Barrier Resources SMem (CBRS) area a Otherwise Pa:gated Atea (OPA)? CI Yes IZ t--lo Dedgnalion Date__ ...,..__ _
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
_
Cl. Sul:lira ikvatiOM ale based Oil: 13 Constwetion amine 0 Wilding Under Catstructiat* 2 Fintheti ansttntion
tA new Elevaier, 1 Cattkat:et wi be requ9•M when constnrikm of the building Is carrplde.
02. &n9 (a Nunber 7 (Select the buMind &Taro nrst sinlitr to the latildetg for With ttiS CaVtikcie IS being con - pges 6 x)d 7, If no darn;
-- azuGley repte..wnt the bading, prmirde a skath or photograph.)
03. Elevations -Zon Al -A30, AE, AN, A (with BEE), VE, V1-V30, V (idth BEE), AR AR/A, AR/AE, ItAtiA1-1-\30, ARAN, ARIAG
CcArn*te items 03,-a -i. below m)orditrg to the building dalam specibed ki Item 02. State he datum used. if the daharn e different from the datum used kyr the BEE n
Salton B, arivert the datum to that used for the Lift. Shot field neasure and datum convettst4n calcuttliat. Use the spare provided or the C.arfrent ;.•Irea d
Section 0 or Sectien 0, w g to dociffnett the ezum c,omersbn.
Deign
NGVD 29 Convemkorcoments
EltwAlri reference aark id Does the deva-on mference mark t.tri aftpear on the ARP LI Yes .F9 No t
•
n a) Top of hot= fidly (ircludng b,..,,enent or errtosure) 8. 1 Mtn)
<I,
o b) Top of next higher floor 17 . 1ft..(m) t).)
\ f . ,,-- (5 " v*::,TEiti,;.; \ I
"<'.) ' 4
Bottom of lowrt horizorM strueural member (V zones o*) NA . It (m) - i 1- 1 x..),--
i 1 . \ (9, I \
, it $.....„ ,
o d)Atxreati (1-)mje (lop of slab) 8. 1 ft.(m) E . F , P>-1, NG. 22413 'l t 1 74 I 1
o a) Lowest ekv),Iion of ()whiney and/or equipment I \ ) c ., t t-_ i i 1
,
,'-' •7.. k t. r4\1:74 8Z
, /
seNting the ouiding (Decritx.) in a Comrrent area) 15. fit.(m) I \ P\' , .•sl,/ st
,.) f) Lowest adjacest (finished) grade (LAG) 7 5 ft.(m) --; '
0?
0 0 Higtmt alecent (tinthr grade (NAG) 8. 3 ft (m) 2 ; '>,- ..".„.."--'' i
. ---..._,,_ , ....
o h) No al permanent operlincp (flood vent) within 1 ft. above ac4a.AAtt gr 10 .- L__/___/.____,A:______ _ 1
o 0 Total sea del permarent openings (flood vents) in Call Msg. in. (sq. cm) ri,10,‘,_,
.., ,... . _ , . ...._.,...... , ....”.......-
SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION /
•
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation infon•nation.
1 certify that the information in Sections A, B, and Con this certificate reprasents my best efforts to interpret the data available
I understand that any false statement may be punishable by fine or imprisonment onder 18 U.S. Code, Section 10Th'. _
CERTIFIER'S NAME J. Witte/ Reynolds LICENSE NUMBER 2249
ME. Lent Surveyor
CO' MEANY NAME
ADDffiSS ...----) CITY STATE 71P CODE
6313 STEPI-Ete/N 1),VENUE SUITE C Saiannah, GA GA 31405
SIG NATU I ..---' •:- 2 —,-------r- -- --4. DATE TELEPHONE
---„ ,./ TELEPHONE / ./ ....--- / ...- 12/2005 912-352-0464
._.".'_. „I/ 4•L ''' .. \
- 6'''' - :'.-;;`-" .."..,..'
S9E3 -9Bt -216 e017:0T SO 92 oaG
Efa ' d • %t76 07 : OT 9212E-9Z-33G
. . _ ._.....
. , _... .. . .._
IMPORTANT: in time spom, copy the cones. pondino intonation from Sotto' n A. 1 Forlituran Com
aLliLDiNG sTREET ADDRri ilfizit.rj A. Unit Skie, eau' BIdg. No. CR P.O. ROME AND BOX NO. Rii,liNkrriber
508 TYBRISA STREET
,
Cfri. STATE ZIP CODE I Comrany NM:mu 1
GA 31328 i
I i
SECTION 0 . SURVEYOR., ENGINEER, OR ARCHITECT CERDFICATION (CONTINUED)
. --
Copy b li ddes of this EleMon C.eititute for (1) =musky official, (2) insurare menttaripany, aid (3) building corral*.
- _ ...
COWAENTS ----- - -
in. e) . NC PAD
Li Check here if attachments,
SECTION E - BUIIDIR1 ELEVATION INFORMATION (SURVEY NOT REQUIRED) FCR ZONE AO AND ZONE A (WIDOW* DEE)
For Zone AD and Zale A (without BEE), oainOete Items El through E4, If the Elotation Certificate is iilDnded for use ussupiXutoD itiorimlion fore LOMA or LOMR-E,
Section C roust be car0.4ed.
E Btiking Diagram lignier _(,Selait the btiloIng (lapin Illa'I similar to the building for wilch Ills certifvile is being completed -see pace; 6 and 7. it no diagram axurate;y
fepreels the blikling, provide a sketch or phatopph.)
F.2 The bp of the tr,..'ili floor (ircludog baSerilent or enclosure) of the btilding is ft (m) _in (an) 0 *ore Of 0 below (c.hc one) the highest atar.eit irede (
naturd grad. e, it avjlaiale).
E
(Jr Building Diagnams 6-3 with ci (see pay 7), the ili higier floor or el for (elev1,0n 0) dine building is _ On) __in (an) &Axe the i1igl
grade. Camplde items Cah axi C3.i on front of Ion.
E4. The to of the pi*Atin of mailinery ardor eitipment servicing the building ts ft.(m)._10.(011) n above or 0 ham (chiwk one) the highest aljarent gale. Use
nalud gate, If ar6lade).
55. For Zone AO of*: if no flood depth rucaber is arialle,'s the top cf the bottom foor elev.4,eid in ax>xdarz 4.11 the coinnunitys Ilm management °affiance?
Li ''(‘ Li] No 0 Unknown. The ioe (444 must co* tit infarrialbn in Section G.
........ - . - - - _ _ - . • - - , -- —.—
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
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The property owner or owner's authorized repvsentetive who caripidea Se...itions A, B, C Nal% C';3 h and 03.i only), and t:-..' for Zane A (adthout a FE.MA-Issuocl or cammun4-
iS,C4181 BEE) of Zone AO most sicri here. The stfierneMs in Sectons A B, C and Earn correct to firi..) best of rvy knot-Oodge.
PRIII OWNER'S OR OWNER'S AUTHOR:I'D REPRESENTAli/E'S Niiii
ADDRESS CITY STATE ZIP CODE
,..
SIGNATURE DATE TELEPHONE
COMMENTS
__.
U Check here tr attatmentE
SECTION G - COMMUNIT Y INFORMATION (OPTIONAL)
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The kcal iti, who is authaized by law or oidinmce to zdnirt-Aer the communitys floodpiiln mairwrient ordinance can ()al lima. Sedions Al , B, C (or E), and G of this Elevztion
Cenfickle. Compete d m tern(s) and sign below.
GI El The darnaEon in Sedan C was taRen from itiler dmirnerteijon that has been signed and embossed by a licensed surveyor, erigiricy, or ath'tect who is runtime ILI. .9..ale
or krg iso to certify elVatOil if f(A711WM. (Indk.Ae tier seater and dale of the elevation data in the Comments area balmy.)
52. El Aoamrnonityolheeiceiip)eied Stolion E for a lading located in Zone A (without a FEM.A-a.saied or awrimunity--imied BFE) or 7ale .40.
G3. 0 The fotimtrg information (Items C-4439) is piovided fa COM11 tint/ ffoodOn maiagement purposes.
I 1-
', (.34. PERMIT NUN , (15 DATE PERMiT iSC,LIED I GC DATE C:alTIFiCATE C COtviPLIANCEIC.Cd
1 .
CT Pt wank' has been issued kr. El New Construction LI Cs-34.ibstant invovernEri
58, aeration of as-built lowest Roar (including basement) of the building . ft (m) Datum.
5(1. EWE or fin Zone AO) depth of flooing at the building site as .._ _ _ t(tn) Datum. .. _
. _ ... _ .., _ .....
LOCAL OFFICIAL'S NAME TITLE
COMMUNO NAME TELEPHONE
SIGNAllRE DATE
• - ,
COMAE NTS
El Ciii. hem. it attz-rhments ,
2 ' d 2S98-98/_.-216 e0170t SO 92 pala